Supermarkets, other food stores, and obesity - The atherosclerosis risk in communities study
Supermarkets, other food stores, and obesity - The atherosclerosis risk in communities study
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DOI：
10.1016/j.amepre.2005.11.003
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发表时间：
2006-04-01
影响因子：
5.5
通讯作者：
Wing, S
中科院分区：
文献类型：
--
作者：
Morland, K;Roux, AVD;Wing, S
背景：肥胖是一个主要的公共卫生问题，尽管假设环境因素在预防肥胖方面发挥作用，但很少有经验数据来证明其影响。本研究的目的是检验当地食品环境的特征是否与心血管疾病危险因素的患病率相关。 方法：2004 年对参与社区动脉粥样硬化风险 (ARIC) 研究第三次访问（1993-1995 年）的男性和女性进行了一项横断面研究。分析包括居住在四个地区 207 个符合条件的人口普查区之一的 10,763 名 ARIC 参与者。 ARIC 定义的地理区域。位于密西西比州、北卡罗来纳州、马里兰州和明尼苏达州的食品店的名称和地址是从农业部获得的。采用多水平模型计算特定类型食品商店的存在与心血管疾病危险因素之间关联的患病率。结果：超市的存在与较低的肥胖和超重患病率相关（肥胖患病率[PR]=0.83，95%置信区间[CI]=0.75-0.92；超重PR=0.94，95%CI=0.90-0.98），便利店的存在与肥胖和超重患病率相关。肥胖和超重患病率较高（肥胖PR=1.16，95% CI=1.05-1.27；超重PR=1.06，95% CI=1.02-1.10）。糖尿病、高血清胆固醇和高血压之间的关联并未得到一致观察。结论：这项研究的结果表明，当地食物环境的特征可能在预防超重和肥胖方面发挥作用。
Background: Obesity is a leading public health concern, and although environmental factors have been hypothesized to play a role in the prevention of obesity, little empirical data exist to document their effects. The purpose of this Study was to examine whether characteristics of the local food environment are associated with the prevalence of cardiovascular disease risk factors.Methods: A cross-sectional study of men and women participating in the third visit (1993-1995) of the Atherosclerosis Risk in Communities (ARIC) Study was conducted in 2004. The analyses included 10,763 ARIC participants residing in one of the 207 eligible census tracts located in the four ARIC-defined geographic areas. Names and addresses of food stores located in Mississippi, North Carolina, Maryland, and Minnesota were obtained from departments of agriculture. Multilevel modeling was used to calculate prevalence ratios of the associations between the presence of specific types of food stores and cardiovascular disease risk factors.Results: The presence of supermarkets was associated with a lower prevalence of obesity and overweight (obesity prevalence ratio [PR] =0.83, 95% confidence interval [CI] =0.75-0.92; overweight PR=0.94, 95% CI=0.90-0.98), and the presence of convenience stores was associated with a higher prevalence of obesity and overweight (obesity PR=1.16, 95% CI=1.05-1.27; overweight PR=1.06, 95% CI=1.02-1.10). Associations for diabetes, high serum cholesterol, and hypertension were not consistently observed.Conclusions: Results from this study suggest that characteristics of local food environments may play a role in the prevention of overweight and obesity.